FDA Adverse Event
Malfunction
Summary report: N
T:SLIM X2 INSULIN PUMP WITH INTEROPERABLE TECHNOLOGY (WITH T:CONNECT MOBILE APP)
MDR report key: 21845391
·
Received April 15, 2025
Report
- Report Number
- 3013756811-2025-74106
- Event Type
- Malfunction
- Date Received
- April 15, 2025
- Date of Event
- April 8, 2025
- Report Date
- April 15, 2025
- Manufacturer
- TANDEM DIABETES CARE
- Product Code
- QFG
- PMA / PMN Number
- K203234
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
NO PRODUCT WAS RETURNED FOR EVALUATION. SHOULD NEW RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE INSULIN GAUGE WAS INACCURATE. CUSTOMER CONTINUED TO USE THE EXISTING CARTRIDGE. ADDITIONALLY, IT WAS REPORTED THAT THERE WERE MULTIPLE ALTITUDE ALARMS. REPORTEDLY, AN OBSTRUCTION WAS BLOCKING THE SPEAKER HOLES. AFTER REMOVING THE OBSTRUCTION FROM THE SPEAKER HOLES AND CHANGING THE CARTRIDGE THE ALARMS CLEARED. THE CUSTOMER'S BLOOD GLUCOSE WAS 251 - 390 MG/DL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2349858 | T:SLIM X2 INSULIN PUMP WITH INTEROPERABLE TECHNOLOGY (WITH T:CONNECT MOBILE APP) | ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP | QFG | TANDEM DIABETES CARE | 1002717 | 60610220 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Female | INSULIN TYPE: HUMALOG |